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 |