| NPI | 1477915304 |
|---|---|
| Former Name | AMANDA MAY NICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006508) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39002524A) |
| Enumeration Date | 2016-03-21 |
| Last Update Date | 2022-09-21 |