| NPI | 1629553391 |
|---|---|
| Other Name | MICHELLE LACOPPOLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 089017-1) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-09-28 |