| NPI | 1508561648 |
|---|---|
| Former Name | AMANDA NICOLE SPRAGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8294) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5476C) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2025-10-02 |