NPI | 1649271933 |
---|---|
Former Name | KIM MARIE ABDALLA-DIGIACOMO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 13939693) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2024-05-20 |