| NPI | 1720699283 |
|---|---|
| Former Name | HALIE CHRISTIAN BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2022033774) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2022033774) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2022-12-20 |