NPI | 1376744706 |
---|---|
Former Name | AMY L SIMONDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 150624) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC2242) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2023-08-09 |