| NPI | 1588173736 |
|---|---|
| Former Name | AMELIA WORTHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2022-04-09 |