NPI | 1124411657 |
---|---|
Former Name | AMY K DANSBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34007152A) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM I-08801) |
Enumeration Date | 2015-03-09 |
Last Update Date | 2017-10-17 |