| NPI | 1306146899 |
|---|---|
| Former Name | ANGIE L PELLEGRIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36321) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: LA 1154) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2021-06-04 |