| NPI | 1659950046 |
|---|---|
| Former Name | ANGELA HAIRGROVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 10295) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2026-03-25 |