NPI | 1154840262 |
---|---|
Other Name | HAILEY MIDRANO HAVEMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100229) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: CA 85137) | |
172V00000X Community Health Worker | |
Enumeration Date | 2017-09-11 |
Last Update Date | 2024-01-22 |