| 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 |