NPI | 1659883296 |
---|---|
Former Name | GENAE GERARDI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017097) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001448) |
Enumeration Date | 2017-11-03 |
Last Update Date | 2023-04-03 |