| NPI | 1043562648 |
|---|---|
| Former Name | DANIELLE MACKENNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1136-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 458-228) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2024-03-14 |