NPI | 1306853932 |
---|---|
Former Name | AMY GRAHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MS C5516) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MS M5516) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2019-11-15 |