NPI | 1992299523 |
---|---|
Former Name | AMANDA KULBACKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2225) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: NH 2225) | |
133NN1002X Nutritionist, Nutrition, Education | |
Enumeration Date | 2018-06-18 |
Last Update Date | 2024-08-20 |