| NPI | 1992258594 |
|---|---|
| Former Name | DANIELLE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117526) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2016-07-31 |
| Last Update Date | 2026-04-20 |