NPI | 1235768896 |
---|---|
Former Name | DANYA MILES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2020-04-06 |
Last Update Date | 2024-05-13 |