| NPI | 1780970715 |
|---|---|
| Former Name | AMBER RAE WOOTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 4232) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2024-03-21 |