| 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 |