| NPI | 1437449881 |
|---|---|
| Former Name | AMANDA LYNN WETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 854) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SD 6073) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2025-10-07 |