| NPI | 1407515323 |
|---|---|
| Former Name | CORDAY DENISE BRADLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC A16971) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 16971) |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2024-09-04 |