| NPI | 1407503253 |
|---|---|
| Former Name | DESTINY DAWN SCHOONOVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-SWLC-LIC-55233) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |