| NPI | 1437554870 |
|---|---|
| Former Name | ANGELIA CRANDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 11899) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2019-08-29 |