| NPI | 1669655437 |
|---|---|
| Former Name | AMANDA ROSE HOULE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NH 1144) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2021-06-02 |