| NPI | 1710775721 |
|---|---|
| Former Name | STEPHANIE ACKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-ACLC-LIC-79267) |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-05-31 |