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 |