| NPI | 1952823148 |
|---|---|
| Former Name | AMY MICHELLE JENKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61675764) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW36685) |
| 1041C0700X Social Worker, Clinical (Licence: CO 00992836) | |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2025-05-01 |