NPI | 1083125975 |
---|---|
Former Name | MARISOL THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA CL60166800) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA CL60166800) |
Enumeration Date | 2017-10-18 |
Last Update Date | 2025-03-14 |