| NPI | 1609030287 |
|---|---|
| Former Name | LEILA ANNETTE GOLDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04379) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000209) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810003333) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2021-08-23 |