| 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 |