| NPI | 1972739894 |
|---|---|
| Former Name | AMANDA COURTNEY BLOUNT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IA 4332) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2014-06-09 |