NPI | 1679187447 |
---|---|
Former Name | ANGELA MARIE ALFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C10573) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5843C) |
Enumeration Date | 2020-08-31 |
Last Update Date | 2025-08-11 |