NPI | 1952474918 |
---|---|
Former Name | AMBER CLEMENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY24533) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PSY18384) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2023-05-12 |