| NPI | 1528401254 |
|---|---|
| Former Name | AMY SUE POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801093753) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 3045640) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2024-03-15 |