| NPI | 1235777319 |
|---|---|
| Former Name | KARINA E CORNELIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 31468) |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |