| NPI | 1154803054 |
|---|---|
| Former Name | AMBER ELIZABETH WITWICKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 4458) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 4458) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2024-02-20 |