Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003193681 |
---|---|
Provider Name | Denielle Antoniette Daniel |
First Address | Murrieta, CA 92562-7285 |
Second Address | Murrieta, CA 92562-7285 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2011 |
Last Update Date | 09/11/2011 |