NPI | 1235273400 |
---|---|
Other Name | GINA CASSIDY- COMFORT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 6611) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY RO27754-1) |
Enumeration Date | 2007-02-19 |
Last Update Date | 2007-07-08 |