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 |