| NPI | 1134522055 |
|---|---|
| Former Name | AMANDA LOERINC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 11374) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY31258) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2024-06-26 |