NPI | 1457802084 |
---|---|
Former Name | ANGELA HUFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 91331) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 72697) |
101YM0800X Counselor Mental Health (Licence: CA 91331) | |
Enumeration Date | 2016-10-19 |
Last Update Date | 2024-03-12 |