NPI | 1407147713 |
---|---|
Other Name | AMY ELIZABETH CANTAZARO POOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP6272) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IA 001186) |
103T00000X Psychologist (Licence: MN LP6272) | |
103TC1900X Psychologist, Counseling (Licence: IA 001186) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IA 001186) | |
Enumeration Date | 2011-04-21 |
Last Update Date | 2024-08-13 |