| NPI | 1467698878 |
|---|---|
| Former Name | ANGELA R VATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 1732) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0006053) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2024-10-18 |