NPI | 1407111743 |
---|---|
Professional Name | AMANDA MARTEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 1411226) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401013143) |
Enumeration Date | 2012-07-12 |
Last Update Date | 2020-11-11 |