NPI | 1104267632 |
---|---|
Former Name | AMBER R HAWKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ME MF4855) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF79693) |
Enumeration Date | 2013-07-12 |
Last Update Date | 2022-07-21 |