NPI | 1457647174 |
---|---|
Professional Name | GLORIA J. GORDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0015000705) |
Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: VA 0015000705) |
163W00000X Registered Nurse (Licence: VA 0001120029) | |
Enumeration Date | 2011-06-21 |
Last Update Date | 2011-06-21 |