NPI | 1417423112 |
---|---|
Former Name | AMANDA KAE NORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60940913) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-10-19 |
Last Update Date | 2020-01-09 |