| NPI | 1942801220 |
|---|---|
| Former Name | AMY SUE TIEFENTHALER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2020036413) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2025029606) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2025-07-21 |