NPI | 1215221320 |
---|---|
Former Name | CHARMAYNE N HYATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923811) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC0700X Psychologist, Clinical (Licence: CO CSW.09923811) | |
Enumeration Date | 2011-06-06 |
Last Update Date | 2021-07-20 |