| NPI | 1285222117 |
|---|---|
| Former Name | AMBER NICOLE LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701010191) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: VA 17-175) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2025-03-19 |