| NPI | 1215938568 |
|---|---|
| Former Name | LORI G HAYDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 004221) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 004221) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2021-03-08 |