| NPI | 1306248364 |
|---|---|
| Former Name | AMANDA KEITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW019539) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2019-06-18 |