| NPI | 1831536556 |
|---|---|
| Former Name | AMBERLE MARY QUACKENBUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1200407) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1200407TRNE) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2022-08-29 |