| NPI | 1124839410 |
|---|---|
| Other Name | AMY WIEDERHOLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-27 |