| NPI | 1528121688 |
|---|---|
| Former Name | ANGELA M O'NEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 77733) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0012549) |
| 101YP2500X Counselor, Professional (Licence: GA LPC004209) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2021-08-23 |