| NPI | 1972992774 |
|---|---|
| Former Name | ANGELIC PICKREL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2014042883) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2014042883) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2025-02-20 |