| NPI | 1386007094 |
|---|---|
| Former Name | MADISON POLINICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011205-01) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2023-06-01 |