| NPI | 1972085082 |
|---|---|
| Former Name | AMANDA DANIELLE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH i.2203923) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34012849A) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC23616) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904017854) | |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2026-09-01 |