| NPI | 1265918528 |
|---|---|
| Former Name | AMANDA MARIE HARTMANB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801107810) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801102723) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2025-01-23 |