| NPI | 1285986620 |
|---|---|
| Former Name | CARLY CONSTANTINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 086393) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 086393-1) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2024-04-16 |