NPI | 1669082038 |
---|---|
Former Name | DANIELLE D COBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 097480) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 078386) |
Enumeration Date | 2020-07-31 |
Last Update Date | 2024-05-01 |