| NPI | 1578729927 |
|---|---|
| Former Name | AMANDA BETH SIEBECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NE 776) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 3661) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2013-03-27 |