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 |