| NPI | 1417737701 |
|---|---|
| Former Name | DANIELLE MICHELLE COODY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 205127) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 126151) |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2023-10-03 |