| NPI | 1063983781 |
|---|---|
| Former Name | EBONY THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6851113982) |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2024-07-17 |