| NPI | 1821366725 |
|---|---|
| Former Name | AMANDA SCHNEIDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM 0176431) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM 0144921) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2016-12-20 |