| NPI | 1750694428 |
|---|---|
| Former Name | MARISSA LEIGH DESANTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0011471) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2015-02-24 |