| NPI | 1427623446 |
|---|---|
| Former Name | HALEY MUTTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 809942) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2026-07-20 |