| NPI | 1922506955 |
|---|---|
| Former Name | DENISE SUZANNE DENMARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61258808) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2024-11-19 |