NPI | 1558740365 |
---|---|
Former Name | NODIA DALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6789) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14502) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC CACII1411) | |
Enumeration Date | 2015-05-26 |
Last Update Date | 2023-02-23 |