| NPI | 1588171599 | 
|---|---|
| Other Name | ALLIE MARIE HAYDON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 202881) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12652) | 
| 101YM0800X Counselor, Mental Health (Licence: TX 78034) | |
| Enumeration Date | 2017-12-29 | 
| Last Update Date | 2018-03-17 |