NPI | 1073938353 |
---|---|
Former Name | DANIELLE K KERR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW61027347) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2014-02-24 |
Last Update Date | 2021-01-15 |