NPI | 1558400531 |
---|---|
Former Name | PEGGY R HALYO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 13639) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904001080) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2023-03-28 |