NPI | 1881918480 |
---|---|
Former Name | ANGELIQUE SRAJER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27861) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 24959) |
Enumeration Date | 2010-03-25 |
Last Update Date | 2018-10-04 |