| NPI | 1154822039 |
|---|---|
| Former Name | AMANDA CORA BOSCOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc06417300) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2025-09-30 |