NPI | 1437358413 |
---|---|
Former Name | AMY MCGHEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042654A) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 4149) |
103TC0700X Psychologist, Clinical (Licence: IL 071.008097) | |
Enumeration Date | 2007-07-11 |
Last Update Date | 2020-11-25 |