| NPI | 1881900314 |
|---|---|
| Former Name | KIMBERLY SKELTON HAYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC LPC9497) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS1862) |
| Enumeration Date | 2010-08-22 |
| Last Update Date | 2019-12-18 |