| NPI | 1497068878 |
|---|---|
| Former Name | AMY REESER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL 11069) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical (Licence: CA 28280) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2022-12-08 |