| NPI | 1942868088 |
|---|---|
| Professional Name | DELIA PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102947) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 2137) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |