| NPI | 1801361282 |
|---|---|
| Former Name | AMBER HOLLOWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2019036248) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 2837) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2019-11-13 |