| NPI | 1215461553 |
|---|---|
| Former Name | TERESSA GUGINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A15339) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2021-05-14 |