NPI | 1053637470 |
---|---|
Former Name | ANN LESLIE MILES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: PSY17722) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2010-04-09 |
Last Update Date | 2025-08-27 |