| NPI | 1104078989 |
|---|---|
| Former Name | AMANDA LESLIE LAUFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 164891) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 164891) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2024-02-14 |