NPI | 1609168509 |
---|---|
Other Name | AMANDA E BORDWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60480042) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 2095) |
106H00000X Marriage & Family Therapist (Licence: CA 66646) | |
Enumeration Date | 2011-05-10 |
Last Update Date | 2014-08-11 |