NPI | 1376002956 |
---|---|
Other Name | AMANDA KIM DENBO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-17855) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-17855) |
Enumeration Date | 2019-03-13 |
Last Update Date | 2024-01-05 |