| NPI | 1962902668 |
|---|---|
| Former Name | AMY MEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 175072) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: KY 174383) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-04-20 |