| NPI | 1871611285 |
|---|---|
| Former Name | CAROLYN VICTORIA HINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN22413) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163W00000X Registered Nurse (Licence: TN RN171356) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-09-29 |