| NPI | 1841214137 |
|---|---|
| Former Name | KIMBERLY YVETTE ANGLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042072A) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20042072A) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2018-05-24 |