| NPI | 1104061605 |
|---|---|
| Former Name | AMY COFFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041902A) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: IN 20041902A) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2023-12-26 |