NPI | 1043752090 |
---|---|
Former Name | AMANDA HARDY HILLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 085422) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00503300) |
Enumeration Date | 2016-11-08 |
Last Update Date | 2021-08-14 |