| NPI | 1770724155 |
|---|---|
| Former Name | AMANDA ROSE TROUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 67671) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I-06248) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2019-06-23 |