| NPI | 1972681310 |
|---|---|
| Former Name | ANGELA MARIE CANUP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301012672) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6301012672) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2013-07-15 |