| NPI | 1912336819 |
|---|---|
| Former Name | ANGELA ZANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801110666) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 2-01355) |
| 104100000X Social Worker (Licence: MI 6801104630) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801104630) | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2023-04-01 |