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 |