NPI | 1356789754 |
---|---|
Former Name | ALLISON RENAE GIACOMI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180010052) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178009118) |
Enumeration Date | 2013-06-06 |
Last Update Date | 2025-04-15 |