| NPI | 1669844353 |
|---|---|
| Former Name | ANGELA WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60359195) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP60278728) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2023-08-10 |