| NPI | 1912102765 |
|---|---|
| Former Name | AMY MARIE CERVANTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6451024339) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2025-06-10 |