| NPI | 1942031315 |
|---|---|
| Former Name | ANGEL LYNN WHITED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904017197) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C018726) |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2026-06-17 |