| 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 |