NPI | 1073822789 |
---|---|
Professional Name | LEAH AV RUSSACK-BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 03-973340) |
Enumeration Date | 2010-09-29 |
Last Update Date | 2010-09-29 |