| NPI | 1316384373 |
|---|---|
| Former Name | DANIELLE DELISLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VT 068.0134129) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YM0800X Counselor Mental Health (Licence: NH 2162) | |
| 101YP2500X Counselor Professional (Licence: VT 097.0134331) | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2020-03-13 |