| NPI | 1588052740 |
|---|---|
| Former Name | ANGELA RENEE GEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 7979-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 7979-M) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2022-11-09 |