| NPI | 1942234182 |
|---|---|
| Former Name | LINDA J PANCINI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 507066) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001427A) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |