| NPI | 1710543269 |
|---|---|
| Former Name | AMANDA LYNN LUURTSEMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801116399) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104295) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2023-05-11 |