| NPI | 1386834331 |
|---|---|
| Former Name | AISHA R REDL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2016-10-06 |