| NPI | 1023747011 |
|---|---|
| Professional Name | DIANA DESHAWN THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 14230) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 14531) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-07 |