| NPI | 1528612686 |
|---|---|
| Former Name | CARRIE BALDINI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 78878) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 46958) |
| Enumeration Date | 2019-07-27 |
| Last Update Date | 2020-09-14 |