NPI | 1851594873 |
---|---|
Former Name | AIMEE NICOLE HAYWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007269) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2007-06-07 |
Last Update Date | 2016-05-25 |