| NPI | 1760938682 |
|---|---|
| Former Name | DANIELLE WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2204146) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH s. 0901359) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2023-01-12 |