| NPI | 1679923247 |
|---|---|
| Former Name | AMANDA MARIE TURNER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017024105) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2017024105) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2019-05-29 |