| NPI | 1255712220 |
|---|---|
| Former Name | DANIELLE JUSTINE CORSARO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 006643) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17269) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC10424) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2023-11-30 |