| NPI | 1508376120 |
|---|---|
| Former Name | AMANDA HUSAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000007113) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW13974) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW006796) | |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2019-11-07 |