| NPI | 1972133882 |
|---|---|
| Former Name | ANGELA MATHIAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22080) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV BP00944892) |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2021-07-15 |