| 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 |