| NPI | 1861850927 |
|---|---|
| Former Name | JAMIE HUCKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 7388) |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |