| NPI | 1700592110 |
|---|---|
| Former Name | AMELY ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09932663) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801121356) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801121356) | |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2026-01-26 |