NPI | 1992058440 |
---|---|
Former Name | BRITTANY NICOLE WATTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301017344) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801094042) |
Enumeration Date | 2012-10-22 |
Last Update Date | 2018-04-05 |