| NPI | 1497497929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE MARCONI Owner 475-549-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-11-23 |