| NPI | 1043959059 |
|---|---|
| Former Name | LELA DANIELLE FORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 17873) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2026-07-29 |