NPI | 1053506972 |
---|---|
Former Name | AMY H. SHOELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9220) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 017089) |
Enumeration Date | 2007-09-13 |
Last Update Date | 2015-04-23 |