| NPI | 1932666054 |
|---|---|
| Former Name | AMANDA LYNN BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401016992) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.011694) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-04-15 |