| NPI | 1700061488 |
|---|---|
| Former Name | AMY LYNN WCISEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801085324) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801085324) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2020-07-07 |