| NPI | 1154741841 |
|---|---|
| Former Name | AMY NOELLE ANDRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PSO17542) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: PA PS017542) | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2020-09-23 |