| NPI | 1316266968 |
|---|---|
| Former Name | AMANDA D BIRNBAUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0004X Psychologist Health (Licence: CA PSY23529) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY23529) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2015-04-20 |