| NPI | 1184822587 |
|---|---|
| Former Name | AMANDA CRICHLOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081057) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 074608-1) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2021-06-24 |