NPI | 1508299355 |
---|---|
Former Name | HAYLEY S ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LIC-LCSW-1055) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT LCSW-1055) |
Enumeration Date | 2013-08-15 |
Last Update Date | 2019-08-28 |