NPI | 1386100378 |
---|---|
Former Name | HALEY KAY TATE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 180910) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2019-02-14 |
Last Update Date | 2022-09-26 |