| NPI | 1184256869 |
|---|---|
| Former Name | TERRA MICHELLE HALEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102296) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2021-08-08 |