| NPI | 1326103771 |
|---|---|
| Former Name | AMY WISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301019762) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 21113) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2026-04-09 |