| NPI | 1326440280 |
|---|---|
| Former Name | MARY PITTERILLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AZ LISAC-11838) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2024-04-16 |