| NPI | 1932459088 |
|---|---|
| Former Name | AMY ELIZABETH LOWERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 019501-1) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY003902) |
| 103TC0700X Psychologist Clinical (Licence: NJ 35SI00621600) | |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2021-02-04 |