| NPI | 1730508268 |
|---|---|
| Former Name | LACEY HESKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10572) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A10572) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2020-10-01 |