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 |