| NPI | 1164631230 |
|---|---|
| Former Name | DANIELLE DAWN MALO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 04147) |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-12-12 |