NPI | 1710111240 |
---|---|
Former Name | AMY JO FINN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-21086) |
Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-12493) |
Enumeration Date | 2009-05-12 |
Last Update Date | 2024-08-30 |