| NPI | 1831770171 |
|---|---|
| Other Name | ANGELA ROSE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 176433) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2021-04-19 |