| NPI | 1922360098 |
|---|---|
| Former Name | CHARLA MARIE DURANTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 22401) |
| 101YM0800X Counselor, Mental Health (Licence: NC A9031) | |
| 101YP2500X Counselor, Professional (Licence: NC 9031) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2021-12-14 |