NPI | 1134617111 |
---|---|
Former Name | AMANDA WINSTEAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254257) |
Additional Taxonomies | 104100000X Social Worker |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2018-04-25 |
Last Update Date | 2023-07-14 |