NPI | 1992101448 |
---|---|
Professional Name | ANGELA ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii060480918) |
Enumeration Date | 2014-11-11 |
Last Update Date | 2023-05-12 |