| NPI | 1912691775 |
|---|---|
| Former Name | AMANDA MICHELLE TINDELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104693) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 104693) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2024-02-21 |