| NPI | 1417414475 |
|---|---|
| Former Name | AMANDA BRANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB60916006) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2022-03-29 |