| NPI | 1942651120 |
|---|---|
| Former Name | ANGELA DAWN BROYLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 11116) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN 11116) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2024-09-13 |