NPI | 1124335575 |
---|---|
Former Name | AMY E PERMENTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 002417-1) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-096406) |
Enumeration Date | 2010-09-07 |
Last Update Date | 2010-09-07 |