NPI | 1003166604 |
---|---|
Former Name | JAMELLE THORNTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 2657) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2012-09-12 |
Last Update Date | 2020-06-01 |