| NPI | 1487199550 |
|---|---|
| Other Name | GWENDOLYN NITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088665) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60566286) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2021-02-02 |