NPI | 1912642661 |
---|---|
Former Name | HAYLEY BEROT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC018952) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: PA APC000654) |
Enumeration Date | 2022-04-27 |
Last Update Date | 2025-07-18 |