| NPI | 1285036590 |
|---|---|
| Former Name | DENISE HALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR 0001073) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2017-12-15 |