NPI | 1164704896 |
---|---|
Former Name | AMANDA TRIPP HAYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MA 10544) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2011-09-20 |
Last Update Date | 2018-05-14 |