| NPI | 1023483765 |
|---|---|
| Former Name | AMANDA DEZERE'A TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN LSW0000012244) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TN BSW000001081) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2023-04-26 |