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 |