| NPI | 1952911737 |
|---|---|
| Former Name | AMANDA KIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3282) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 3282) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2024-08-06 |