NPI | 1407486376 |
---|---|
Former Name | DANIELLE NICOLE WHITWORTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OK 1456) |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2020-01-20 |
Last Update Date | 2024-06-12 |