| NPI | 1821845579 |
|---|---|
| Former Name | AMANDA THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA RN95360862) |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |