| NPI | 1922524818 |
|---|---|
| Former Name | DANIELLE JEAN KLENDWORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8960) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C010075) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |