| NPI | 1821466038 |
|---|---|
| Former Name | AMY M PRICKETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 12203) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2025-03-04 |