| NPI | 1023475761 |
|---|---|
| Former Name | AMY SUE COLLISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801057767) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401004469) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |