| NPI | 1386833234 | 
|---|---|
| Former Name | RENEE JEAN HATCHELL | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R11024) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-25-5072) | 
| Enumeration Date | 2007-10-16 | 
| Last Update Date | 2025-05-28 |