NPI | 1760700793 |
---|---|
Former Name | GEODI LYNN HALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 94645) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
225C00000X Rehabilitation Counselor | |
Enumeration Date | 2010-05-14 |
Last Update Date | 2019-08-10 |