| NPI | 1851570014 |
|---|---|
| Former Name | AMANDA CARROLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 1242) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2023-01-11 |