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 |