NPI | 1346596251 |
---|---|
Former Name | JAMIE LORIN HAWKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3578) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 3578) |
Enumeration Date | 2012-07-29 |
Last Update Date | 2020-11-09 |