| NPI | 1194864686 |
|---|---|
| Former Name | AMANDA ELAINE WRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW01691) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 113201) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2017-11-13 |