| NPI | 1255525069 |
|---|---|
| Former Name | AMANDA SUZANNE BICKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IN 39003691A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2021-07-23 |