NPI | 1144545344 |
---|---|
Former Name | AMBER N GARDNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MA 290911) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R76606) |
101YM0800X Counselor, Mental Health | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 290911) | |
Enumeration Date | 2010-03-30 |
Last Update Date | 2023-11-02 |