| NPI | 1750791497 |
|---|---|
| Former Name | AMY WILHELM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9980) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-05-03 |
| Last Update Date | 2024-02-27 |