| NPI | 1548729395 |
|---|---|
| Former Name | AMANDA MARIE MALONE-DIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09925945) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-07-10 |