| NPI | 1871863225 |
|---|---|
| Former Name | AMY NICOLE ELIAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL 14811) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL CCHW.0100442) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2023-10-03 |