| NPI | 1992075386 |
|---|---|
| Former Name | DANIELLE LORI SELVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 29884) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106H00000X Marriage & Family Therapist (Licence: CA 77169) | |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2022-05-03 |