| NPI | 1417142191 |
|---|---|
| Former Name | DANIELLE NICOLE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP6090) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ 3916331) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2011-10-20 |