| NPI | 1548897200 |
|---|---|
| Former Name | ANGELICA WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA CA119415) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-10-07 |