| NPI | 1902144066 |
|---|---|
| Former Name | AMANDA CHRISTINE RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IN 34010679A) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2025-11-07 |