| NPI | 1225697212 |
|---|---|
| Former Name | TONYA MARIE AMOUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID 38735) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 38735) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID 38735) | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |