| NPI | 1609394592 |
|---|---|
| Former Name | DANIELLE GRACE FETTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: UT 9811095-2501) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: UT 98110952501) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2023-09-15 |