NPI | 1972799393 |
---|---|
Former Name | DANIELLE DEIDRE CAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LPC-11214) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC11214) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2008-11-20 |