| NPI | 1447623574 |
|---|---|
| Former Name | AMANDA MICHELLE PAINTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 8531-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV IC-1121) |
| 104100000X Social Worker (Licence: NV 7526-S) | |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2019-08-19 |