| NPI | 1376815340 |
|---|---|
| Former Name | AMANDA MARIE HARPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4017) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 4017) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |