| 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 |