| NPI | 1427327352 |
|---|---|
| Former Name | AMY ELIZABETH SPURGIN DESTREE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-07244) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 29904) |
| 1041C0700X Social Worker, Clinical (Licence: NM I-07244) | |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2021-06-25 |