| NPI | 1295503217 |
|---|---|
| Doing Business As | KINTSUGI: INTEGRATIVE PRACTICE |
| Entity Type | Organization |
| Authorized Contact | VERA IMPERIALE Owner 518-423-1978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |