| NPI | 1194236232 |
|---|---|
| Former Name | AMANDA KESHAVARZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2024-04-08 |