| 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 |