| NPI | 1811470891 |
|---|---|
| Former Name | AMANDA DUVON DENHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 086432) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 75897) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |