NPI | 1881235620 |
---|---|
Former Name | DANIELLE P.F. COTTONHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: LA 1741) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 31304) |
103T00000X Psychologist (Licence: TX 39723) | |
103T00000X Psychologist (Licence: FL 3031) | |
Enumeration Date | 2019-10-02 |
Last Update Date | 2025-09-22 |