| NPI | 1801059043 |
|---|---|
| Former Name | LISA DAWN HINKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 175264) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY 0905) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2018-03-17 |