NPI | 1194091512 |
---|---|
Former Name | AMANDA MAE DAHIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60331438) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-09-5346) |
Enumeration Date | 2012-03-29 |
Last Update Date | 2016-07-21 |