| NPI | 1992189849 |
|---|---|
| Former Name | DANIELLE RYAN DAVENPORT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11805) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2026-04-09 |