| NPI | 1295348241 |
|---|---|
| Former Name | DENISE DANIELLE GOODWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60612269) |
| 163W00000X Registered Nurse (Licence: ID N-52112) | |
| 163W00000X Registered Nurse (Licence: OR 201506687RN) | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-12-09 |