NPI | 1437529567 |
---|---|
Former Name | AMANDA LYNN CHAPMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60686877) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2015-10-01 |
Last Update Date | 2018-05-23 |