NPI | 1467720631 |
---|---|
Former Name | AMANDA K HUSSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60440432) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61141477) |
Enumeration Date | 2011-12-02 |
Last Update Date | 2021-10-19 |