| NPI | 1023431673 |
|---|---|
| Former Name | JOHANNA DEPALMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM T-0163671) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0166611) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2019-03-20 |