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 |