| NPI | 1932635729 |
|---|---|
| Former Name | DANIELLE BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4330) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-10-12 |