NPI | 1619290178 |
---|---|
Former Name | ANGELA B. BARCELONA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC10444) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT LPC2503) |
101YM0800X Counselor, Mental Health (Licence: GA LPC008351) | |
Enumeration Date | 2010-03-11 |
Last Update Date | 2022-02-25 |