| NPI | 1326450677 |
|---|---|
| Former Name | LYNETTE HALLESY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 00309-C) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |