NPI | 1689721193 |
---|---|
Former Name | ANGELA SUE FLINTOFT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008051) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-01-05 |
Last Update Date | 2024-05-21 |