| NPI | 1588289771 |
|---|---|
| Former Name | KACIE LYNN HALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C9805) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61500615) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2025-04-14 |