| NPI | 1861014797 |
|---|---|
| Former Name | SAVANNAH JANE MARINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 14231) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC A14231) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2022-03-27 |