NPI | 1821414145 |
---|---|
Former Name | AMANDA M. GREENING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: WI 960-124) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 960-124) |
Enumeration Date | 2014-03-11 |
Last Update Date | 2018-09-18 |