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 | 2024-08-26 |