| NPI | 1164030136 |
|---|---|
| Former Name | AMINA GAMBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401223701) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2025-04-01 |