| NPI | 1184360323 |
|---|---|
| Former Name | DANIELLE M MOSKOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 026603) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 10001030) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2024-08-28 |