| NPI | 1568789543 |
|---|---|
| Former Name | ALLISON NICOLE FAEHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 2112) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 270) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2014-10-23 |