| NPI | 1730879289 |
|---|---|
| Former Name | ANGELA MARIA TOMLINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 89805) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 0642) |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-09 |