| NPI | 1720343221 |
|---|---|
| Former Name | AMANDA MICHAELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-14-10422) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2018-10-18 |