| NPI | 1619148814 | 
|---|---|
| Former Name | DANETTE JONES MARTI | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 7350) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 735) | 
| Enumeration Date | 2008-03-14 | 
| Last Update Date | 2008-03-14 |