| NPI | 1902201718 |
|---|---|
| Former Name | ANGELA SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009857) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW,09923622) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2016-02-18 |