NPI | 1861833733 |
---|---|
Former Name | AMANDA W. POWER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4845) |
Additional Taxonomies | 251S00000X (Licence: LA 4845) |
101Y00000X Counselor (Licence: LA 4845) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 4845) | |
101YM0800X Counselor, Mental Health (Licence: LA 4845) | |
101YS0200X Counselor, School (Licence: LA 4845) | |
Enumeration Date | 2013-07-08 |
Last Update Date | 2024-05-01 |