| NPI | 1649417585 |
|---|---|
| Former Name | AMY ELIZABETH ELVINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 4454) |
| 171W00000X Contractor | |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2017-12-21 |