NPI | 1184193781 |
---|---|
Former Name | AMY E PIERCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2594) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-11-13 |
Last Update Date | 2020-09-22 |