| NPI | 1619681087 |
|---|---|
| Former Name | AMANDA ROSE KAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-OVETLI) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1613790525) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2025-06-05 |