NPI | 1558683243 |
---|---|
Former Name | AMY ELIZABETH SCHAEFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OK 1640) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 1640) |
Enumeration Date | 2010-02-22 |
Last Update Date | 2019-12-03 |