| NPI | 1144617671 |
|---|---|
| Former Name | AMANDA C. EGGERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122091) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1450732) |
| 104100000X Social Worker (Licence: OH I.1700060) | |
| 1041C0700X Social Worker, Clinical (Licence: OH 1.1700060-SUPV) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2019-10-06 |