NPI | 1740444785 |
---|---|
Former Name | AMY CATHERINE GIVEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11551) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.012040) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2014-11-07 |