| NPI | 1881116952 |
|---|---|
| Former Name | AMBER DEMARR MARCELIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC7938) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO .0013580) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-07-11 |