| NPI | 1104233709 |
|---|---|
| Former Name | DANIELLE DESSA STANSBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253257) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2018-05-03 |