NPI | 1689025876 |
---|---|
Former Name | AMBER SHAFFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1500896-TRNE) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2102127) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2024-12-11 |