| NPI | 1184862450 |
|---|---|
| Former Name | INGRID SELL BOCCELLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 104185) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |