| NPI | 1114774270 |
|---|---|
| Former Name | DESTINIE DANEA DALTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.193693) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2026-07-15 |