NPI | 1821001322 |
---|---|
Former Name | ANGELA GRACE BESCHLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2014007196) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149017866) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2022-10-26 |