| 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 |