NPI | 1790914851 |
---|---|
Former Name | AMY JANE AUGSBURGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY60215528) |
Enumeration Date | 2009-07-10 |
Last Update Date | 2021-03-08 |