| NPI | 1104182153 | 
|---|---|
| Professional Name | SHAD HAIDER | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81047) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 66143) | 
| Enumeration Date | 2012-04-04 | 
| Last Update Date | 2019-04-29 |