| NPI | 1679025399 |
|---|---|
| Former Name | AMANDA JOANN BURK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202285) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 72818) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2019-07-09 |