| NPI | 1295331775 |
|---|---|
| Former Name | AMBER OUTLAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2025-06-03 |