| NPI | 1841678521 |
|---|---|
| Former Name | AMANDA MARIE HART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 115272) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC 13252) |
| 101YP2500X Counselor, Professional (Licence: NM CTB-2022-0272) | |
| 101Y00000X Counselor (Licence: CA 11503) | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2024-04-26 |