| NPI | 1699278911 |
|---|---|
| Former Name | DANIELLE BERTHA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 14308) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 2221) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WV 15-117) | |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2023-12-04 |