NPI | 1326672270 |
---|---|
Former Name | AMANDA MARIE KURPIT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022450) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW136648) |
Enumeration Date | 2020-03-01 |
Last Update Date | 2023-05-03 |