| NPI | 1982463899 |
|---|---|
| Former Name | AMANDA BORTOLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY12202) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY12202) |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2026-01-14 |