| NPI | 1265305817 |
|---|---|
| Former Name | CHRISTINA MARIE COLUCCI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 32896) |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |