| NPI | 1841633310 |
|---|---|
| Former Name | STEFANI HAWBAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R6265) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101258669) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2020-03-26 |