NPI | 1053894675 |
---|---|
Other Name | AMANDA LEIGH OSBORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA SC61106588) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 19R27) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001347) | |
101YM0800X Counselor, Mental Health (Licence: OR A5812) | |
Enumeration Date | 2018-09-10 |
Last Update Date | 2023-05-10 |