| NPI | 1457142994 |
|---|---|
| Former Name | ANGELA FAYE CLAIR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0005537) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000456) |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-08-25 |