| NPI | 1003825563 |
|---|---|
| Former Name | AMY LOUISE JAERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008653A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C004465) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-02-19 |