| NPI | 1982196226 |
|---|---|
| Former Name | AMY SHAVINSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93251) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 68270) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2024-12-11 |