| NPI | 1518396522 |
|---|---|
| Former Name | DELEDA DALE PROPHET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2013-11-11 |