NPI | 1669554101 |
---|---|
Former Name | AMY WHEAT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 2316-C) |
Additional Taxonomies | 104100000X Social Worker (Licence: AR 1913-M) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2013-05-02 |