| NPI | 1164584496 |
|---|---|
| Former Name | AMANDA REYNARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LW61052884) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2021-04-28 |