NPI | 1992171599 |
---|---|
Former Name | DANIELLE ELIZABETH ANTONELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007806) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 18 P99085) |
Enumeration Date | 2015-08-18 |
Last Update Date | 2022-07-21 |