NPI | 1144252545 |
---|---|
Former Name | ANGELA ANNETTE LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY11215) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NC 2850) |
103TC0700X Psychologist, Clinical (Licence: NC 2850) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 2850) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2021-11-12 |