| NPI | 1750088225 |
|---|---|
| Former Name | AMY ADELE WATTIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NE 1987) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 5603) |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2024-04-24 |