NPI | 1811440787 |
---|---|
Former Name | AMANDA ROSE TOCCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3732) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL IMT2124) |
Enumeration Date | 2016-07-27 |
Last Update Date | 2023-02-13 |