| 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 |