| NPI | 1992241814 |
|---|---|
| Former Name | JUDITH ANNE AMICONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2505357) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161357) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2025-07-03 |