NPI | 1134168602 |
---|---|
Former Name | AMY ELIZABETH SANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005136A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW004180) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2010-06-15 |