| NPI | 1083145403 |
|---|---|
| Former Name | JANIQUE PENELOPE DAUGHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 082910) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2026-03-02 |