| NPI | 1609071109 |
|---|---|
| Former Name | ANGELA ROSS GALLIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL LPC02425) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL LPC02425) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2025-10-16 |