| NPI | 1124518741 |
|---|---|
| Former Name | AMANDA HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS020194) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2024-07-05 |