NPI | 1447634134 |
---|---|
Former Name | DANIELLE NICOLE WALSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC16913) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ME LC6326) |
Enumeration Date | 2015-07-13 |
Last Update Date | 2018-03-23 |