| NPI | 1083303325 |
|---|---|
| Former Name | HAYLEE MCCANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2025008023) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2023015682) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2025-03-31 |