NPI | 1689919672 |
---|---|
Former Name | DANIELLE LYNN GARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8265) |
Additional Taxonomies | 104100000X Social Worker (Licence: WI 128436-121) |
Enumeration Date | 2012-12-03 |
Last Update Date | 2022-07-11 |