| NPI | 1215238274 |
|---|---|
| Former Name | MARYBETH ANGILELLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 018009-1) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WA TE61249834) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2021-12-30 |