NPI | 1326482878 |
---|---|
Other Name | LYSSA AMISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.015874) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801101665) |
1041C0700X Social Worker, Clinical (Licence: IL 149.0158774) | |
1041C0700X Social Worker, Clinical (Licence: MN 29704) | |
1041C0700X Social Worker, Clinical (Licence: IN 34008063A) | |
1041C0700X Social Worker, Clinical (Licence: IA 106876) | |
1041C0700X Social Worker, Clinical (Licence: TX 104183) | |
1041C0700X Social Worker, Clinical (Licence: NJ 44SC06295600) | |
1041S0200X Social Worker, School (Licence: IL 1996350) | |
Enumeration Date | 2013-04-25 |
Last Update Date | 2023-12-28 |