| NPI | 1588113252 |
|---|---|
| Former Name | AMANDA FISKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 092986) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 911090151) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2020-02-19 |