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 |