| NPI | 1740899814 |
|---|---|
| Former Name | AMANDA KELIANA TINER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09930043) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009924104) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2023-12-27 |