| NPI | 1457996423 |
|---|---|
| Former Name | AMBER DISHMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2395) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 101401) |
| 101YP2500X Counselor, Professional (Licence: OK 7398) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2026-05-13 |