| NPI | 1235413683 |
|---|---|
| Former Name | AMY MELISSA YATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 267934) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY PSYPAT00222543) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2022-12-01 |