| NPI | 1326755166 |
|---|---|
| Former Name | AMANDA LOUISE GOLDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61510763) |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2025-01-14 |