| NPI | 1053574871 |
|---|---|
| Former Name | DANIELLE AIMEE DILDINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: CT 4228) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA psy20249) |
| 103TC0700X Psychologist, Clinical (Licence: CA psy20249) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: CA psy 20249) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2023-05-03 |