| NPI | 1285903203 |
|---|---|
| Former Name | AMANDA LYNN ENGELDRUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW110773) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2022-10-20 |