| NPI | 1356721260 |
|---|---|
| Former Name | AMBER HINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2019-01-04 |