NPI | 1811659568 |
---|---|
Former Name | ANGELA M GOODMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 23178090639) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2021-10-11 |
Last Update Date | 2023-07-07 |