| NPI | 1700563509 |
|---|---|
| Former Name | CHRISTY LYNN WIGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61418993) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC61418993) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2024-09-24 |