NPI | 1104249887 |
---|---|
Former Name | AMBER YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01358) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 206151) |
Enumeration Date | 2014-01-30 |
Last Update Date | 2025-10-07 |