| NPI | 1316600380 |
|---|---|
| Former Name | AMANDA NOMICOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-22892) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2404677) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0020351) | |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2026-03-15 |