NPI | 1245471242 |
---|---|
Former Name | AMANDA S ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078564) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.012542) |
Enumeration Date | 2009-03-20 |
Last Update Date | 2011-11-03 |