| NPI | 1487086187 |
|---|---|
| Former Name | AMANDA U. STA. ROMANA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 278863) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2019-08-15 |