| NPI | 1386033959 |
|---|---|
| Former Name | LANE KIMBERLY HAWES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8114) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NC SP II) |
| 101YP2500X Counselor, Professional (Licence: NC 8114) | |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2021-09-12 |