| NPI | 1457754251 |
|---|---|
| Former Name | DANIELLE CHRISTINE PROCTOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2071) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 9502) |
| 101YP2500X Counselor, Professional (Licence: WI 5435-125) | |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2018-08-15 |