| NPI | 1538539101 |
|---|---|
| Former Name | AMANDA MORGAN BRAVERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021662) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2022-07-29 |