| NPI | 1205237054 |
|---|---|
| Former Name | DANNA MARIE DOUGLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KS LCPC 2326) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS LCMFT 713) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2015-01-16 |