| NPI | 1417317470 |
|---|---|
| Former Name | AMANDA MARIE SHELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801099161) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2023-04-03 |