| NPI | 1598130262 |
|---|---|
| Former Name | DAPHNE KRISTIN GODFREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701006340) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2023-01-31 |