NPI | 1821343815 |
---|---|
Former Name | AMANDA LYNN MOLNAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-42059) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
104100000X Social Worker (Licence: CT 002441) | |
1041C0700X Social Worker, Clinical (Licence: NC C013833) | |
Enumeration Date | 2012-07-17 |
Last Update Date | 2024-06-06 |