| NPI | 1922244847 |
|---|---|
| Former Name | AMBER DAWN EGELSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 7165) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2024-10-09 |