| NPI | 1942797923 | 
|---|---|
| Former Name | DANIELLE SUMMER SVERDRUP | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: WA 60849675)  | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60849675)  | 
| 101YM0800X Counselor, Mental Health (Licence: WA 60849675)  | |
| Enumeration Date | 2018-04-16 | 
| Last Update Date | 2019-12-10 |