| NPI | 1689160079 |
|---|---|
| Former Name | ANGELA CHAMBERLAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2023009820) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2018022858) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2024-04-18 |