| NPI | 1114671310 |
|---|---|
| Former Name | DANIELLE ELIZABETH VASQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MHCA.MC.61256546) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-09-07 |