NPI | 1598976375 |
---|---|
Former Name | KELLY D HADDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6361007549) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-05-24 |
Last Update Date | 2021-03-03 |