| NPI | 1114248168 |
|---|---|
| Former Name | AMANDA CHESMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 11157) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2021-03-21 |