| NPI | 1568798759 |
|---|---|
| Former Name | CICELY D WATTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149023539) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34006447A) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2023-05-03 |