NPI | 1154911261 |
---|---|
Former Name | AMY PICHARDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NY P107502) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 34822) |
Enumeration Date | 2021-01-22 |
Last Update Date | 2023-06-18 |