| NPI | 1821733544 |
|---|---|
| Former Name | AMANDA SKINNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11718) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L13565) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-09-13 |