| NPI | 1669098083 |
|---|---|
| Former Name | ANGELA CHANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CMH0215001) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-CTL0211711) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2021-04-14 |