| NPI | 1073032819 |
|---|---|
| Former Name | AMANDA LEONA TRAMBLAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61023658) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60612048) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2022-07-21 |