| NPI | 1265774921 |
|---|---|
| Former Name | AMANDA LAUREN WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NV 17019) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2020-08-29 |