NPI | 1356641930 |
---|---|
Former Name | AMY CHENG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO 4872) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO 12328) |
Enumeration Date | 2010-10-28 |
Last Update Date | 2018-09-06 |