| NPI | 1184894453 |
|---|---|
| Former Name | AMY GOTHRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801089158) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801089158) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2010-01-29 |