| NPI | 1790413516 | 
|---|---|
| Former Name | CARLA A RENNIA | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21120) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 009244) | 
| Enumeration Date | 2022-08-10 | 
| Last Update Date | 2024-07-01 |