| NPI | 1285038158 |
|---|---|
| Former Name | AMANDA FOSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6802088324) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2022-01-26 |