| NPI | 1972185494 |
|---|---|
| Former Name | ANGELA WADSWORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NV CP3266-R) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NV CP3266-R) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |