| NPI | 1134577075 |
|---|---|
| Former Name | AMY BARRETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024964) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS01985) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2024-01-26 |