| NPI | 1629233812 |
|---|---|
| Former Name | BETH JANEL LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04154) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000435) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2009-08-20 |