| NPI | 1073345880 |
|---|---|
| Former Name | JOHANNA DEPIETRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 91080) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 20815) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-11-19 |