| NPI | 1396181343 |
|---|---|
| Former Name | AMANDA SUMMERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 7328) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2023-01-20 |