| NPI | 1659701514 |
|---|---|
| Former Name | SUSANNE HAYDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012219) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2024-10-08 |