| NPI | 1386903235 |
|---|---|
| Former Name | AMY D SHOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 6306) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2018-01-18 |