| NPI | 1215548722 |
|---|---|
| Former Name | MAKENZIE ELISE DEPETRILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2025-02-14 |