| NPI | 1972057354 |
|---|---|
| Former Name | DANIELLE MANDIGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015072) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34007584A) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2023-11-15 |