| NPI | 1720692320 |
|---|---|
| Former Name | AMBER BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2022-08-23 |