NPI | 1265819932 |
---|---|
Former Name | AMBER EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13957) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 11911) |
Enumeration Date | 2015-05-01 |
Last Update Date | 2021-05-18 |