| NPI | 1548562739 |
|---|---|
| Former Name | AMANDA MARIE RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 55556) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11736) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2021-03-09 |