NPI | 1801462692 |
---|---|
Former Name | ANGLEA LENTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 296289) |
Additional Taxonomies | 101Y00000X Counselor |
103T00000X Psychologist (Licence: KY 279853) | |
103T00000X Psychologist | |
Enumeration Date | 2021-06-02 |
Last Update Date | 2025-09-25 |