| NPI | 1881884674 |
|---|---|
| Former Name | DANIELLE BROOKS BODEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW65620) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928079) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2024-12-22 |