| NPI | 1902155161 |
|---|---|
| Former Name | CAROLINA CELESTE FAGGIONI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005268) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701005268) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2024-01-03 |