| NPI | 1730817727 |
|---|---|
| Former Name | DENISE TAYLOR HODGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710103865) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0709024818) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2024-06-19 |