| NPI | 1962542399 |
|---|---|
| Former Name | AMANDA NICOLE CARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28487) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2013-02-01 |