| NPI | 1306850821 |
|---|---|
| Former Name | RACHELLE MARIE SERRONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2001001601) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2001001601) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2021-03-02 |