NPI | 1871873968 |
---|---|
Former Name | AMBER HIBBEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: WI 8299-123) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WI 205151827) |
Enumeration Date | 2011-08-22 |
Last Update Date | 2022-07-11 |