| NPI | 1902104672 |
|---|---|
| Former Name | DANIELLE ANNE MASHBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii051040218) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2020-11-17 |