NPI | 1366777005 |
---|---|
Former Name | AMBER M ZAGAMI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24910) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY7970) |
Enumeration Date | 2009-10-14 |
Last Update Date | 2015-07-16 |