| NPI | 1215457403 |
|---|---|
| Former Name | DELANDRIA STATON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11310) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: DC PRC15383) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-09-15 |