| NPI | 1285822213 |
|---|---|
| Former Name | AMANDA LEANN MCPHERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 10458774-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-33360) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2023-09-22 |