| NPI | 1972924553 |
|---|---|
| Former Name | AMBER JOY MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 111687) |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2020-02-11 |