| NPI | 1376187005 |
|---|---|
| Former Name | TERRY S PORRECA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2202) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0135454) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2023-11-15 |