| NPI | 1972368991 |
|---|---|
| Former Name | AMANDA TANKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |