NPI | 1811326168 |
---|---|
Former Name | HALEY BROOK CROFT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 103572) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 167166) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2013-11-07 |
Last Update Date | 2023-11-14 |