| NPI | 1992322747 |
|---|---|
| Former Name | AMBER BRANDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018590) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CO LPCC.0017567) |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2022-08-30 |