NPI | 1003534009 |
---|---|
Former Name | AMITY S SCOVILLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 241015) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2022-08-16 |
Last Update Date | 2025-09-23 |