NPI | 1669929873 |
---|---|
Former Name | NICOLE L PETRONZIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001593) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC7482) |
106H00000X Marriage & Family Therapist (Licence: CA 95587) | |
106H00000X Marriage & Family Therapist (Licence: CA LMFT108615) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2016-09-06 |
Last Update Date | 2024-04-30 |