NPI | 1073630513 |
---|---|
Former Name | DEMETRIA ZAPPACOSTA-IACOCCA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2011-08-15 |