| NPI | 1902115991 |
|---|---|
| Professional Name | AMANDA GAY BORDWINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13486) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001050) |
| Enumeration Date | 2010-09-25 |
| Last Update Date | 2011-07-13 |