| NPI | 1326646357 |
|---|---|
| Former Name | DANIELLE FRANCES TIPTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 114640) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6682) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-15 |