| NPI | 1376809897 |
|---|---|
| Former Name | HALEY A PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4658-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15739-131) |
| 101YM0800X Counselor, Mental Health (Licence: WI 4658-125) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2019-02-05 |