| NPI | 1639461270 |
|---|---|
| Former Name | AMANDA MARIE BOLLINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1403036) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: AR A1104040) | |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2018-05-14 |