| NPI | 1326682196 |
|---|---|
| Former Name | DANIELLE CHERIE BALLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 78426) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 78426) |
| 101YP2500X Counselor, Professional (Licence: TX 78426) | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2022-07-04 |