NPI | 1043850464 |
---|---|
Other Name | AMY J WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904013841) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 125550) |
Enumeration Date | 2020-01-14 |
Last Update Date | 2022-10-13 |