| NPI | 1457035792 |
|---|---|
| Former Name | AMANDA M FRAAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |