| NPI | 1700012978 |
|---|---|
| Other Name | SHEILA A. MANGIARACINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 5491) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 300226) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |