| NPI | 1568003135 |
|---|---|
| Former Name | AMBER MARIE ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 78573) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 78573) |
| 101YM0800X Counselor Mental Health (Licence: TX 78573) | |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2023-08-29 |