NPI | 1306573266 |
---|---|
Former Name | HALEY KRISTIN HAWKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AR 202179) |
Additional Taxonomies | 103T00000X Psychologist (Licence: AR 202179) |
Enumeration Date | 2022-08-02 |
Last Update Date | 2023-11-19 |