| NPI | 1316584378 |
|---|---|
| Former Name | AMANDA DUPLISSIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60933864) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |