| NPI | 1881118875 |
|---|---|
| Former Name | AMANDA D PRYOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.010323) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.010323) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2021-02-18 |