NPI | 1689294415 |
---|---|
Former Name | MICHELE VILLANOVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P109496) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 36554) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2020-04-22 |
Last Update Date | 2024-03-15 |