NPI | 1972015725 |
---|---|
Former Name | AMANDA HIRN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C011930) |
Enumeration Date | 2017-11-02 |
Last Update Date | 2024-07-09 |