| NPI | 1023757986 |
|---|---|
| Former Name | AMANDA DAWN BROTHERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 259687) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 256943) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2024-10-16 |