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 | 2025-04-15 |