| NPI | 1679747695 |
|---|---|
| Former Name | AMY ELISE EISENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6563) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: FL PY6563) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: FL PY6563) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |