| 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 |