| NPI | 1780261552 |
|---|---|
| Former Name | AMBER JANIELLE LATSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA PLC8418) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA PLC8418) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2023-01-03 |