NPI | 1366777278 |
---|---|
Former Name | ANGELA ERIKA LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004597) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NC 3905) |
103TC1900X Psychologist, Counseling (Licence: VA 0810004597) | |
103TH0100X Psychologist, Health Service (Licence: NC 3905) | |
Enumeration Date | 2009-10-09 |
Last Update Date | 2024-03-01 |