NPI | 1659667004 |
---|---|
Former Name | ANGELA E EAVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA LCSW104762) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical (Licence: CA LCSW104762) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2011-06-23 |
Last Update Date | 2021-11-03 |