| NPI | 1700368578 |
|---|---|
| Former Name | DANIELLE UMLAND RANDALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WI 3996-57) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: AR 18-17P) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2024-01-02 |