| NPI | 1700495512 |
|---|---|
| Former Name | AMANDA J MYHRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SWI.LW.61446582) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61129495) |
| 101Y00000X Counselor (Licence: WA CG61085822) | |
| 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-64806) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2024-03-26 |