| NPI | 1215590179 |
|---|---|
| Former Name | VALERIE PETRONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 34059) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |