| NPI | 1811251127 |
|---|---|
| Former Name | AMY DZIOMBA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005701) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2018-05-23 |