NPI | 1982039004 |
---|---|
Former Name | AMBER FETZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW09925747) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-09-09 |
Last Update Date | 2024-03-25 |