NPI | 1801462692 |
---|---|
Former Name | ANGLEA LENTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: KY 279853) |
Additional Taxonomies | 103T00000X Psychologist |
101Y00000X Counselor | |
Enumeration Date | 2021-06-02 |
Last Update Date | 2024-02-19 |