NPI | 1649756131 |
---|---|
Former Name | AMANDA BACHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016396) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 967-8-1-18A) |
Enumeration Date | 2018-07-17 |
Last Update Date | 2020-08-04 |