NPI | 1619391828 |
---|---|
Former Name | AMY MAC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
172V00000X Community Health Worker | |
372600000X Adult Companion | |
Enumeration Date | 2014-02-07 |
Last Update Date | 2020-10-08 |