| NPI | 1629602388 |
|---|---|
| Former Name | AMANDA L THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61314225) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61023829) |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2022-09-05 |