| NPI | 1487927174 |
|---|---|
| Other Name | AMIE MARIE JEFFRYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36993) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: LA 1143) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 36993) | |
| Enumeration Date | 2012-02-12 |
| Last Update Date | 2015-10-14 |