| NPI | 1992411524 |
|---|---|
| Other Name | AMANDA MICHELLE VASQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 114024) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 114024) |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2024-04-02 |