| NPI | 1619148442 |
|---|---|
| Former Name | TONYA CAMILLE HUCKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA Psy003098) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 1732) |
| 103TC0700X Psychologist, Clinical (Licence: SC 1138) | |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2010-07-15 |