| NPI | 1780099408 |
|---|---|
| Other Name | AMY GRANTHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 29654) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV BP00943833) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2023-03-01 |