| NPI | 1366079014 |
|---|---|
| Former Name | AMANDA STEBOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 02044) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305542) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2023-09-12 |