| NPI | 1043703770 |
|---|---|
| Former Name | AMANDA TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801095111) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801095111) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2023-08-04 |