| NPI | 1649629981 |
|---|---|
| Former Name | HALEY MICHELE STOUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008379A) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2019-02-07 |