| NPI | 1578127130 |
|---|---|
| Former Name | AMANDA P KRIBERNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH13325) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC011314) |
| 101YP2500X Counselor Professional (Licence: CT 46.003580) | |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2022-01-11 |