NPI | 1508357815 |
---|---|
Former Name | KAHLIA NICHELLE HAWKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT139598) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT106447) |
Enumeration Date | 2018-05-22 |
Last Update Date | 2023-06-15 |