NPI | 1144503947 |
---|---|
Former Name | TRACY M HAWKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1451093-SUPV) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1201092) |
Enumeration Date | 2011-09-28 |
Last Update Date | 2023-02-13 |