| NPI | 1942944434 |
|---|---|
| Former Name | AMANDA JO HURST-CIESIELSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1452881221) |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-04-21 |