| NPI | 1144866864 |
|---|---|
| Former Name | AMBER LYNN TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14494) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |