| NPI | 1386257665 |
|---|---|
| Former Name | AMY NICOLE GILES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 36288) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2021-07-22 |