NPI | 1821307802 |
---|---|
Former Name | NICHOLETTE K. POKRYWA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NY 00112745) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2010-09-24 |
Last Update Date | 2010-09-24 |