| NPI | 1760910004 |
|---|---|
| Former Name | AMBER MARIE GROVOGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 8037-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16424-131) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2024-02-05 |