| NPI | 1225327836 |
|---|---|
| Former Name | AMY C CHITWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SD 3225) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 9364) |
| 104100000X Social Worker (Licence: NE 6758) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2015-10-22 |