| NPI | 1063068294 |
|---|---|
| Former Name | CAMILLE ZOE THIGPEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021753) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW135490) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2021-04-12 |