| NPI | 1346840766 |
|---|---|
| Former Name | KAREN MARIE MASIELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 19602) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-27 |