NPI | 1528624301 |
---|---|
Former Name | PATTY JEAN HATTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2104008) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1807091) |
Enumeration Date | 2019-05-16 |
Last Update Date | 2024-02-26 |