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 | 103TH0100X Psychologist, Health Service (Licence: NC 3905) |
Enumeration Date | 2009-10-09 |
Last Update Date | 2025-09-19 |