| NPI | 1780120378 |
|---|---|
| Former Name | AMBER NICOLE RECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 4285) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2024-02-05 |