| NPI | 1629424296 |
|---|---|
| Former Name | AMANDA RACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TN 3536) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN 3536) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2019-04-18 |