| NPI | 1538357983 |
|---|---|
| Former Name | ANGELA L CHILDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008999) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 6111907) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2024-04-11 |