| NPI | 1881152312 |
|---|---|
| Former Name | KRISTY JUDE POLLIZATTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2020-09-10 |