NPI | 1144650359 |
---|---|
Former Name | PATRICIA ALBANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0015263) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000891) |
Enumeration Date | 2013-11-25 |
Last Update Date | 2020-05-04 |