| NPI | 1619681087 |
|---|---|
| Former Name | AMANDA ROSE KAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-OVETLI) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-10-05 |