NPI | 1043464878 |
---|---|
Former Name | AMANDA A DREWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO PYT0114) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 1832) |
Enumeration Date | 2008-11-06 |
Last Update Date | 2014-12-05 |