| NPI | 1922682202 |
|---|---|
| Former Name | AMY ROOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109628) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2022-08-09 |