| NPI | 1013189554 |
|---|---|
| Former Name | AMANDA RAE BALDIZAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA A020470815) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A020470815) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2022-10-14 |