| NPI | 1457065054 |
|---|---|
| Former Name | ANGELA ANN BRUMFIELD-LEAKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00000553) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-09 |