| NPI | 1427344167 |
|---|---|
| Other Name | AMY SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 082906-1) |
| 1041C0700X Social Worker, Clinical (Licence: NC C009781) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2020-09-23 |