NPI | 1114348232 |
---|---|
Former Name | AMY FISCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401005840) |
Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: MI 6301009543) |
Enumeration Date | 2013-12-16 |
Last Update Date | 2013-12-16 |