| 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 |