| NPI | 1114592805 |
|---|---|
| Former Name | AMANDA KAZIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 134407) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2024-01-23 |