| NPI | 1760912216 |
|---|---|
| Former Name | AMANDA ASHLEY GOMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 009589) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2025-04-08 |