NPI | 1639501125 |
---|---|
Professional Name | DAKEDA RENEE HORTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009752) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.013618) |
Enumeration Date | 2013-08-06 |
Last Update Date | 2018-06-25 |