| NPI | 1154870137 |
|---|---|
| Former Name | AMANDA CLEVELAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021699) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW133820) |
| Enumeration Date | 2016-10-01 |
| Last Update Date | 2023-09-20 |