NPI | 1396196143 |
---|---|
Former Name | KDEE AMANDA LUKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 007360) |
Enumeration Date | 2016-06-23 |
Last Update Date | 2024-02-28 |