| NPI | 1558978866 |
|---|---|
| Former Name | KATHLEEN MARY HALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2021-03-30 |