NPI | 1326646357 |
---|---|
Former Name | DANIELLE FRANCES TIPTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 150605) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6682) |
Enumeration Date | 2020-10-12 |
Last Update Date | 2024-10-29 |