NPI | 1306002019 |
---|---|
Former Name | AMY LANIER GUMPERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8831) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2809) |
Enumeration Date | 2008-08-01 |
Last Update Date | 2024-04-17 |