| NPI | 1801135595 |
|---|---|
| Former Name | STEPHANIE ANN HAYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11915) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |