NPI | 1811090343 |
---|---|
Former Name | AMANDA ALLER LOWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180005461) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180005461) |
103T00000X Psychologist (Licence: IL 180005461) | |
106H00000X Marriage & Family Therapist (Licence: IL 180005461) | |
Enumeration Date | 2006-09-07 |
Last Update Date | 2024-08-04 |