NPI | 1952658908 |
---|---|
Former Name | AMY FRIEDLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.018108) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-08-09 |
Last Update Date | 2016-12-09 |