NPI | 1184995839 |
---|---|
Former Name | ANDREA HAWKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC007164) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 4907) |
106H00000X Marriage & Family Therapist (Licence: CO 4907) | |
Enumeration Date | 2012-01-25 |
Last Update Date | 2018-09-10 |