NPI | 1770132748 |
---|---|
Former Name | DESTINY MUNACHISO DANIELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC5000885) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-09-11 |
Last Update Date | 2024-02-05 |