NPI | 1922780907 |
---|---|
Former Name | CRYSTAL LEE HAYES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1506310523) |
Enumeration Date | 2023-08-01 |
Last Update Date | 2023-08-01 |