| NPI | 1497385595 |
|---|---|
| Former Name | AEREIL PEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14537) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 25198) |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2023-06-13 |