| NPI | 1336332337 |
|---|---|
| Former Name | MARIE HAYDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C1934) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC11117) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2019-11-02 |