| NPI | 1457810871 |
|---|---|
| Former Name | AMANDA MARY BODE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301016482) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6361999795) |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2025-03-26 |