| 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 | 2024-04-09 |