The holder whose full name is Blade, Amanda Gale,come from Valparaiso IN,hold the Occupational Therapist license(NO.31004268A) which status is Active.
| Name | Blade, Amanda Gale |
|---|---|
| License Number | 31004268A |
| License Type | Occupational Therapist |
| License Status | Active |
| City | Valparaiso |
| State | IN |