| NPI | 1649586355 |
|---|---|
| Former Name | HALEY MICHELLE AMOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15754) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 5157) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |