| NPI | 1871857516 |
|---|---|
| Former Name | GINA MASULLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5583) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15849) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2018-03-21 |