NPI | 1992936678 |
---|---|
Other Name | ANGELIKA PANOVA BOHANNAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95004867) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 49586) |
Enumeration Date | 2009-07-29 |
Last Update Date | 2024-09-05 |