| NPI | 1720766165 |
|---|---|
| Former Name | CAROLINE MANTONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2026-10-06 |