NPI | 1639492788 |
---|---|
Former Name | HEIDI RENEE HADDOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64720) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201300) |
Enumeration Date | 2010-03-03 |
Last Update Date | 2025-03-21 |