| NPI | 1043571565 |
|---|---|
| Former Name | JAMIE HAYNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IA 079787) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY33941) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2025-03-20 |