| NPI | 1548728694 |
|---|---|
| Former Name | GINA DAMORE-PAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC A13622) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-25241) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2024-06-11 |