| NPI | 1962950634 |
|---|---|
| Former Name | AMY E SHY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2025-01-31 |