| NPI | 1831153477 |
|---|---|
| Former Name | AMY SIMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 221786) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-02-13 |