NPI | 1619073756 |
---|---|
Former Name | STACEY M HASSETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 004210-01) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 22894) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2023-03-22 |