NPI | 1588922587 |
---|---|
Former Name | ANGELA VENSOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 59621) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 6796-C) |
Enumeration Date | 2012-04-26 |
Last Update Date | 2021-10-20 |