NPI | 1881957934 |
---|---|
Former Name | ANGELA TERESA DUDLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4492) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14272) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2019-07-08 |