| NPI | 1023263654 |
|---|---|
| Former Name | AMY BARTON GRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 4970) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 0804022) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2024-01-09 |