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 |