| NPI | 1518394097 |
|---|---|
| Former Name | JESSICA HAWKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-004991) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ PSY-004991) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2020-12-28 |