NPI | 1659976967 |
---|---|
Other Name | AMY JANELLE MOLINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005366) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CO PSY.0005366) |
103TS0200X Psychologist, School (Licence: CO PSY.0005366) | |
Enumeration Date | 2020-12-03 |
Last Update Date | 2021-04-22 |