| NPI | 1720406028 |
|---|---|
| Former Name | DANIELLE BLUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc00730) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN cc00730) |
| 103TC0700X Psychologist, Clinical (Licence: MN cc00730) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2023-12-06 |