NPI | 1497936264 |
---|---|
Former Name | AMY MARIE DENDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 11265) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY 1243) |
Enumeration Date | 2007-11-20 |
Last Update Date | 2013-05-10 |