NPI | 1811050560 |
---|---|
Other Name | AMY GRACE HUGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 12309) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 12309) |
Enumeration Date | 2006-12-17 |
Last Update Date | 2021-09-14 |