| NPI | 1053537530 |
|---|---|
| Former Name | AMY B. BOLLENBACHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016397) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC000377) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2015-02-15 |