NPI | 1821324559 |
---|---|
Former Name | AMY WEI KONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY34977) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA BCBA 1-14-9980) |
106H00000X Marriage & Family Therapist (Licence: CA LMFT52839) | |
Enumeration Date | 2009-10-30 |
Last Update Date | 2024-04-08 |