NPI | 1225207418 |
---|---|
Former Name | AMBER USSIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 1267) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 1267) |
Enumeration Date | 2008-02-21 |
Last Update Date | 2021-05-27 |