| NPI | 1952799637 |
|---|---|
| Professional Name | J. ILANA BRADFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C5272) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R3341) |
| 101YP2500X Counselor, Professional (Licence: OR R3341) | |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2024-08-18 |