| NPI | 1689749608 |
|---|---|
| Former Name | AMY BETH DANIEWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L6816) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2017-01-23 |