NPI | 1972070381 |
---|---|
Former Name | DANIELLE LOWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CT 2439) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 2439) |
101YP2500X Counselor, Professional (Licence: CT 2439) | |
101YS0200X Counselor, School (Licence: 2439) | |
171M00000X Case Manager/Care Coordinator (Licence: CT 2439) | |
Enumeration Date | 2018-10-24 |
Last Update Date | 2018-10-24 |