| NPI | 1265669121 |
|---|---|
| Former Name | AMY CAMMACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MD 04833) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016856) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2011-06-27 |