| NPI | 1285922757 |
|---|---|
| Former Name | ELLEN GERACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NY 004287) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004287) |
| 101YP2500X Counselor, Professional (Licence: SC 8677) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 004287) | |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2024-12-01 |