NPI | 1831073139 |
---|---|
Former Name | HOLLY PISERCHIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ADDC.0000650) |
Enumeration Date | 2025-08-01 |
Last Update Date | 2025-08-01 |