NPI | 1881142644 |
---|---|
Former Name | AMBER POPOVITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY.10793) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY10793) |
Enumeration Date | 2016-09-21 |
Last Update Date | 2023-06-27 |