NPI | 1124437264 |
---|---|
Former Name | MEREDITH AMAYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MA 10592) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: RI PS01455) |
103TC2200X Psychologist Clinical Child & Adolescent (Licence: RI PS01455) | |
Enumeration Date | 2014-08-02 |
Last Update Date | 2024-08-07 |