| NPI | 1154896314 |
|---|---|
| Former Name | AMANDA BULAT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ND 2018-067) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 3687) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2023-05-16 |