| NPI | 1881884674 |
|---|---|
| Former Name | DANIELLE BROOKS BODEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0006766) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 35698) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928079) | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW65620) | |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2025-06-12 |