| NPI | 1073995221 |
|---|---|
| Former Name | AMANDA V TUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121151) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 93188) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2020-09-02 |