| NPI | 1710460084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ANN HAWKINS Owner/Clinical Psychologist 757-718-3613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2019-05-10 |