| NPI | 1679780209 |
|---|---|
| Other Name | MICHELLE ROSE PINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 02-001154) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |