| NPI | 1003905738 |
|---|---|
| Former Name | AMANDA CLERKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012555) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 34005212A) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC CO1255) | |
| 101YM0800X Counselor, Mental Health (Licence: IN 34005212A) | |
| 101YM0800X Counselor, Mental Health (Licence: NC CO1255) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2023-05-10 |