| NPI | 1902990864 |
|---|---|
| Former Name | AMY R. TUBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 398) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 823) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-06-26 |