NPI | 1710540331 |
---|---|
Former Name | HAYLEE DANIELLE HASTINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 151200) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: TX 00117995) |
Enumeration Date | 2019-04-18 |
Last Update Date | 2020-09-03 |