NPI | 1114658002 |
---|---|
Former Name | JAMIE LYNN HEMPHILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: LA 1695) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: VA 0810008338) |
Enumeration Date | 2022-06-21 |
Last Update Date | 2024-09-24 |