| NPI | 1710754247 |
|---|---|
| Professional Name | DELORES D LANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 28128) |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |