| NPI | 1659866010 |
|---|---|
| Former Name | ANGELA BUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.08740) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2025-03-03 |