NPI | 1548832132 |
---|---|
Other Name | WILL HALE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR R6966) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R6966) |
Enumeration Date | 2021-07-13 |
Last Update Date | 2024-09-03 |