| NPI | 1962749705 |
|---|---|
| Former Name | ANGELA AYOUB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4298C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801095155) |
| 1041C0700X Social Worker, Clinical (Licence: IA 113459) | |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2023-08-11 |