| NPI | 1770008674 |
|---|---|
| Former Name | AMANDA PARSONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA 60688515) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2017-08-11 |