| 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 |