| NPI | 1285938019 |
|---|---|
| Former Name | DOMINIQUE MARIE CELLINI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007368) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2011-01-09 |
| Last Update Date | 2024-09-09 |