NPI | 1245707868 |
---|---|
Former Name | HALEY KRISTINE KRUEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60901820) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60714858) |
Enumeration Date | 2018-11-01 |
Last Update Date | 2022-10-27 |