| NPI | 1154963882 |
|---|---|
| Other Name | AMANDA CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 296018) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2025-02-17 |