| NPI | 1649940610 |
|---|---|
| Former Name | JAMIE L HAGARTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2022-08-08 |