NPI | 1497167605 |
---|---|
Former Name | DANIELLE K LOCASCIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180010717) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 31775) |
221700000X Art Therapist (Licence: IL 15-026) | |
Enumeration Date | 2014-05-22 |
Last Update Date | 2024-08-02 |