| NPI | 1467083253 |
|---|---|
| Former Name | MANDALYN HALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39004002A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IN 88000780A) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2021-06-25 |