| NPI | 1972216257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE CARONIA Owner/Psychotherapist 551-777-1026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 170300000X Genetic Counselor, MS | |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2023-09-06 |