| NPI | 1164884847 |
|---|---|
| Former Name | AMANDA LYNN BOWERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014198) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012112) |
| 1041C0700X Social Worker, Clinical (Licence: CA 67015) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C015794) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-04-04 |