NPI | 1356724421 |
---|---|
Other Name | DANIELLE BALIVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122525) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2015-07-07 |
Last Update Date | 2020-08-28 |