NPI | 1184732307 |
---|---|
Former Name | LEE ANNE VAUGHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY004236) |
Additional Taxonomies | 103T00000X Psychologist (Licence: VA 810003264) |
103TC0700X Psychologist, Clinical (Licence: VA 0810003264) | |
Enumeration Date | 2006-08-28 |
Last Update Date | 2024-01-25 |