NPI | 1659654473 |
---|---|
Former Name | ANGIE HESSELTINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 06349) |
Additional Taxonomies | 104100000X Social Worker (Licence: IA 06349) |
Enumeration Date | 2011-09-28 |
Last Update Date | 2023-12-04 |