| NPI | 1568829166 |
|---|---|
| Former Name | AMBER DAWN MYERS'MACKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA lh61431949) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60264413) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2023-07-26 |