NPI | 1013271907 |
---|---|
Former Name | DANIELLE LEE BLACKWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60827685) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LW60827685) |
104100000X Social Worker (Licence: WA LW60827685) | |
Enumeration Date | 2012-06-26 |
Last Update Date | 2023-05-18 |