| NPI | 1912760521 |
|---|---|
| Former Name | ANGELA D YESUVIDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK RADACT) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-03-28 |