| NPI | 1215535562 |
|---|---|
| Former Name | MAYA PASTERNAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2023-08-30 |