| NPI | 1174952303 |
|---|---|
| Former Name | AMANDA KUDYBA |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009887) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2017-10-09 |