| NPI | 1851502983 |
|---|---|
| Former Name | AMBER LANGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-23273) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-01593) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401009357) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH19206) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2025-06-03 |