| NPI | 1730740812 |
|---|---|
| Former Name | AMANDA LEE KINCAID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2506351) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1903788) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2025-02-26 |