| NPI | 1770810608 |
|---|---|
| Other Name | JILL MARIE IZYDORCZAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY LMHC-004391) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 20452) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY CASAC-20452) | |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2022-03-22 |