NPI | 1427068360 |
---|---|
Former Name | AMY KATHERINE KIZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 33368) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2006-08-09 |
Last Update Date | 2007-08-24 |