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 |