| 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 |