| NPI | 1710538921 |
|---|---|
| Former Name | MONICA RENEE HADDOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 8199) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2019-09-28 |
| Last Update Date | 2022-12-30 |