NPI | 1295898112 |
---|---|
Professional Name | AMY J TRABITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6301006103) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301006103) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2013-10-08 |