| NPI | 1518335991 |
|---|---|
| Former Name | AMANDA MCBRIDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17946) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2024-04-01 |