| NPI | 1992088876 |
|---|---|
| Former Name | AMY LYNN BONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2009001157) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2009001157) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2023-06-02 |