NPI | 1689222598 |
---|---|
Former Name | ANGELIA STEPHENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P2311001) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A2102215) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2019-09-04 |
Last Update Date | 2024-02-26 |