NPI | 1346884681 |
---|---|
Former Name | AMY SCHOLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC21612) |
Additional Taxonomies | 251S00000X (Licence: ME LC21612) |
Enumeration Date | 2019-10-30 |
Last Update Date | 2024-02-16 |