NPI | 1528456787 |
---|---|
Former Name | AMANDA BRANDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: CT 157) |
Additional Taxonomies | 170300000X Genetic Counselor, MS (Licence: PA GC000151) |
Enumeration Date | 2014-12-22 |
Last Update Date | 2021-01-08 |