| NPI | 1538618582 |
|---|---|
| Former Name | AMBER SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0015072) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0014869) |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2019-06-24 |