| NPI | 1639668536 |
|---|---|
| Former Name | ANGELINA FAYE SHIREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 13833) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: 13833) | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2024-01-10 |