| NPI | 1922744713 |
|---|---|
| Former Name | AMANDA ERICSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: TN 000747537) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2025-02-16 |