| NPI | 1083906655 |
|---|---|
| Former Name | AMY ELIZABETH BIBB-FORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00161300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 16643) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2018-06-14 |