NPI | 1639629934 |
---|---|
Former Name | AMY ANAYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2018038778) |
Additional Taxonomies | 104100000X Social Worker (Licence: MO 2018038778) |
Enumeration Date | 2016-10-11 |
Last Update Date | 2022-11-18 |