NPI | 1578770772 |
---|---|
Former Name | AMORY JEAN HALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 1988) |
Additional Taxonomies | 104100000X Social Worker (Licence: KY 1988) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2023-04-18 |