Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1164739454 |
---|---|
Provider Name | Hayley L Mcmillan |
First Address | Salt Lake City, UT 84111 |
Second Address | Salt Lake City, UT 84111-1702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2010 |
Last Update Date | 08/09/2010 |