| NPI | 1033830989 |
|---|---|
| Former Name | DANIELLE LYNN HAGGERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH P.08461) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MI 6301019069) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2025-04-14 |