| NPI | 1700344926 |
|---|---|
| Former Name | AMANDA MICHELLE HUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 6037) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SD 4883) |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2025-01-06 |