| NPI | 1962991232 |
|---|---|
| Former Name | DANAE LYNN VANROEKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC20338) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 17031751) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2019-01-11 |