| NPI | 1962181578 |
|---|---|
| Former Name | MIA MARSHEA ANGALICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WV 827) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: WV C4A14700158) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |