NPI | 1750527206 |
---|---|
Former Name | AMY E SNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 587) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID lcpc3232) |
Enumeration Date | 2009-01-05 |
Last Update Date | 2017-01-23 |