| NPI | 1578991501 |
|---|---|
| Former Name | DANIELLE ELAINE LASTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TX 39694) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 11731) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2020-02-20 |