| NPI | 1326786831 |
|---|---|
| Former Name | AMANDA PIERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.105439) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149026002) |
| 104100000X Social Worker (Licence: IL 150105439) | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2026-08-04 |