| NPI | 1003179094 | 
|---|---|
| Former Name | DANELLE W NEW | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11109)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-13635)  | 
| Enumeration Date | 2012-06-25 | 
| Last Update Date | 2023-07-17 |