Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003019118 |
---|---|
Provider Name | Mrs. Kasie Hanley |
First Address | Bakersfield, CA 93312-6333 |
Second Address | Bakersfield, CA 93312-6333 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 08/07/2007 |