NPI | 1811393879 |
---|---|
Former Name | AYEASHA E ANGLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-11-18 |
Last Update Date | 2024-02-07 |