| NPI | 1225034846 |
|---|---|
| Former Name | ANGELA MARQUIS WESSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003208) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY003208) |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: GA PSY003208) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2012-08-03 |