| NPI | 1497337646 |
|---|---|
| Former Name | HAYLIE PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A16231) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-27071) |
| 101YP2500X Counselor, Professional (Licence: NC A16231) | |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2024-01-11 |