NPI | 1255845996 |
---|---|
Former Name | AMANDA LENN KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012317) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011669) |
Enumeration Date | 2017-11-16 |
Last Update Date | 2023-04-27 |