| NPI | 1619286416 |
|---|---|
| Former Name | AMANDA RACHEL EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60141928) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2019-07-22 |