NPI | 1972013894 |
---|---|
Former Name | JANE E HAWLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP6161) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP6161) |
Enumeration Date | 2017-10-05 |
Last Update Date | 2024-09-13 |