| NPI | 1235560590 |
|---|---|
| Former Name | AMY BETH GIVEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008721) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IL 071008721) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071008721) | |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |