| NPI | 1073901534 |
|---|---|
| Former Name | SIERRAH DANIELLE POOLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO LPC.0013036) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 2846) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2021-04-08 |