| NPI | 1477272037 |
|---|---|
| Former Name | AMANDA MASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM SWB-2023-1290) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2026-01-27 |