| NPI | 1013265644 |
|---|---|
| Former Name | AMANDA MARIE TAKACS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8934266-3501) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: UT 8934266-3501) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 8934266-3501) | |
| 101YM0800X Counselor, Mental Health (Licence: UT 8934266-3501) | |
| 104100000X Social Worker (Licence: UT 8934266-3501) | |
| 171M00000X Case Manager/Care Coordinator (Licence: UT 8934266-3501) | |
| 372600000X Adult Companion | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2024-11-08 |