NPI | 1700365004 |
---|---|
Former Name | FALON HAYGOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401222591) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301017350) |
101YP2500X Counselor, Professional (Licence: MI 6401222591) | |
Enumeration Date | 2018-08-08 |
Last Update Date | 2024-01-23 |