| NPI | 1639492788 |
|---|---|
| Former Name | HEIDI RENEE HADDOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 64720) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201300) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2022-07-12 |