| 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 | 2021-04-02 |