| NPI | 1609161371 |
|---|---|
| Other Name | ANGELA MARIE LIEBENTHAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011722) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401011722) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2023-06-20 |