| NPI | 1457334435 |
|---|---|
| Former Name | AMANDA JUNE UNRUH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05985) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004889A) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2023-07-11 |