NPI | 1700493848 |
---|---|
Former Name | MICHAEL M AMIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071010409) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 3855-57) |
Enumeration Date | 2020-09-23 |
Last Update Date | 2025-01-30 |