| NPI | 1003054339 |
|---|---|
| Former Name | AMBER D. BAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071007604) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071007604) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2010-02-16 |